| NPI | 1326087115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301057531) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301057531) |
| 207Q00000X Family Medicine (Licence: CA G175557) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-10-27 |